DAVID JONATHAN TAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004064

License Status

ACTIVE

Business

First Name

DAVID

Middle

JONATHAN

Last Name

TAN

Business Name

DAVID JONATHAN TAN

Original Issue Date

07/14/2011

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/04/2025